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HypertensionPhase 1NCT03099226

Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Rising Dose Regimens of BIA 5-453

A Phase 1 study testing BIA 5-453 in people with Hypertension, run by Bial - Portela C S.A. at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to characterise the plasma and urine pharmacokinetic profile of Etamicastat (BIA 5-453) and its metabolites after three multiple rising dose regimens of Etamicastat (BIA 5-453). Read more about this study

Who is it for?
Ages 18 to 65 years, men only
Conditions the study is for
Hypertension
What is being tested?
BIA 5-453
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
23 participants
Where
1 siteFrance
Study dates
15 Jul 2008to 3 Apr 2009
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A signed and dated informed consent form before any study-specific screening procedure is performed.
  • Male patients aged between 18 and 65 years (inclusive)
  • Body mass index (BMI) between 18 and 35 kg/m2 (inclusive)
  • Patients with essential hypertension, without previous treatment (but in which treatment was justified), defined at the selection visit as blood pressure (BP) after 10 minutes of rest in supine position of
  • diastolic blood pressure (DBP) ≥ 90 mmHg and/or,
  • systolic blood pressure (SBP) ≥ 140 mmHg
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  • Patients with essential hypertension, with previous treatment, defined at the end of the screening period (i.e. after 3 weeks wash-out of antihypertensive treatment(s) and before D-1) as blood pressure (BP) after 10 minutes of rest in supine position of
  • diastolic blood pressure (DBP) ≥ 90 mmHg and/or,
  • systolic blood pressure (SBP) ≥ 140 mmHg
  • Naive or patients taking any class of antihypertensive treatment including (but not limited to) one of the following authorised treatments: B-blockers, diuretics, angiotensin-converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB), calcium channel blockers. Patients observed a wash-out for their antihypertensive treatments of approximately 3 weeks.
  • Laboratory tests within the normal range of the laboratory (haematology, biochemistry and urinalysis) or considered as not clinically significant by the investigator.
  • Electrocardiogram recording on a 12-lead ECG without any clinically significant abnormality
  • Covered by National Health Insurance
  • Once clinical eligibility had been established, patients conducted 24 h ambulatory blood pressure monitoring (ABPM) at the end of the screening period, and after treatment wash-out for patients already treated. They had to meet the following off-treatment criteria for mean 24 h ambulatory blood pressure measurements to be included in the study:
  • Average daytime ambulatory systolic/diastolic BP ≥ 135 / 85 mm Hg and/or
  • Ambulatory night-time systolic/diastolic BP ≥ 120 / 70 mm Hg.

Who cannot join

  • Criteria associated with hypertension, associated risk factors, and target organ damage:
  • Severe hypertension (SBP≥180 mm Hg and/or DBP≥110 mm Hg) at any time during the study from screening period to end of study visit or in the medical history, malignant hypertension
  • Secondary hypertension (including known renovascular hypertension, pheochromocytoma)
  • Any recent history of coronary artery disease (in the previous 6 months) and including myocardial infarction, or precordial pain suggesting angina pectoris and coronary revascularisation
  • Any recent history of cardiac failure (in the previous 6 months)
  • Any recent history of cerebrovascular stroke or transient ischemia (in the previous 6 months)
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  • Any known aortic or mitral valve stenosis or hypertrophic obstructive myocardiopathy
  • Any known severe ocular complication of hypertension (stage III or IV retinopathy),
  • Any history of ventricular rhythm disorders (torsades de pointes, ventricular tachycardia, polymorphic ventricular extra-systoles except isolated extra-systoles), auricular disorders (fibrillation or flutter).
  • Any surgical or medical condition that might significantly alter the absorption, distribution, metabolism, or excretion of Etamicastat (BIA 5-453)
  • Presence or history of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, haematological, neurological or psychiatric disease.
  • Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month).
  • Criteria associated with patient characteristic:
  • History or presence of drug dependence.
  • Patients smoking more than 10 cigarettes per day
  • History of alcoholism within 1 year before day 1. Consumption of more than 50 g of ethanol per day (12.5 cL glass of 10° [10%] wine = 12 g; 4 cL of aperitif, 42° [42%] whiskey = 17 g; 25 cL glass of 3° [3%] beer = 7.5 g; 25 cL glass of 6° [6%] beer = 15 g
  • Participation in a drug trial within 3 months preceding the selection visit.
  • Positive result from the hepatitis serology for hepatitis B (HBs Ag) and/or hepatitis C (HCV Ab).
  • Positive result for HIV1+2 serology.
  • Positive Urine Drug Screen (UDS) (amphetamines, benzodiazepines, ecstasy, cocaine, opiates).
  • Loss of greater than 400 mL or blood donation within the last 3 months.
  • Criteria associated with concomitant diseases:
  • Patients taking one of the following treatments: aldosterone antagonists, nitrite derivatives.
  • Presence or history of any allergic or unusual reaction to drugs.
  • Excessive consumption of beverages containing xanthine bases (more than six cups or glasses per day) or inability to stop consumption during the hospitalization.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Biotrial

    Rennes, F-35000

Other trials in France

About this study

Official title: A Double-blind, Randomised, Placebo-controlled Study to Evaluate the Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Rising Dose Regimens of Etamicastat (BIA 5-453) in Hypertensive Subjects

The purpose of this study was to characterise the plasma and urine pharmacokinetic profile of Etamicastat (BIA 5-453) and its metabolites after three multiple rising dose regimens of Etamicastat (BIA 5-453).

Read the detailed description

Single centre, double-blind, randomised, placebo-controlled study of three dosage regimens of Etamicastat (BIA 5-453) in 3 groups of 8 hypertensive patients.

In each group, the study consisted of a 10-day multiple-dose period. Progression to the next dose level only occurred if the previous dose level was considered to be safe and well tolerated. An appropriate interval separated the investigation of doses to permit a timely review and evaluation of safety data prior to proceeding to a higher dose level.

Conditions
Hypertension
Being tested
Placebo, BIA 5-453
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo blue hard gelatine capsules

  • BIA 5-453Drug

    Also called Etamicastat

    Etamicastat (BIA 5-453) blue hard gelatine capsules - 50 Strength (mg)

Study groups in NCT03099226
Study groupRoleWhat they receive
Group 1 - BIA 5-453 50 mg or placeboExperimentalThis study investigated the doses of 50, 100 and 200 mg of Etamicastat (BIA 5-453) during 10 days administered q.d. in the morning under fasting conditions. On Day 1 and Day 10, patients remained fasted from a minimum of 8 hours before drug administration until after the collection of the 4 hour PK timepoint. Individuals were served a meal following the 4 hour timepoint and had free access to a maximum of 2.5 litres of water per day. However they were not allowed to drink 1 hour before and 1 hour after the dosing except for the 250 mL taken with the IMP at administration. On other administrations days, patients remained fasted for a minimum of 8 hours before drug administration and the treatments were administered one hour before a standardized breakfast. The patients were administered between 7:00 and 9:00 o'clock a.m
Receives: Drug: Placebo; Drug: BIA 5-453
Group 2 - BIA 5-453 100 mg or placeboExperimentalThis study investigated the doses of 50, 100 and 200 mg of Etamicastat (BIA 5-453) during 10 days administered q.d. in the morning under fasting conditions. On Day 1 and Day 10, patients remained fasted from a minimum of 8 hours before drug administration until after the collection of the 4 hour PK timepoint. Individuals were served a meal following the 4 hour timepoint and had free access to a maximum of 2.5 litres of water per day. However they were not allowed to drink 1 hour before and 1 hour after the dosing except for the 250 mL taken with the IMP at administration. On other administrations days, patients remained fasted for a minimum of 8 hours before drug administration and the treatments were administered one hour before a standardized breakfast. The patients were administered between 7:00 and 9:00 o'clock a.m
Receives: Drug: Placebo; Drug: BIA 5-453
Group 3 - BIA 5-453 200 mg or placeboExperimentalThis study investigated the doses of 50, 100 and 200 mg of Etamicastat (BIA 5-453) during 10 days administered q.d. in the morning under fasting conditions. On Day 1 and Day 10, patients remained fasted from a minimum of 8 hours before drug administration until after the collection of the 4 hour PK timepoint. Individuals were served a meal following the 4 hour timepoint and had free access to a maximum of 2.5 litres of water per day. However they were not allowed to drink 1 hour before and 1 hour after the dosing except for the 250 mL taken with the IMP at administration. On other administrations days, patients remained fasted for a minimum of 8 hours before drug administration and the treatments were administered one hour before a standardized breakfast. The patients were administered between 7:00 and 9:00 o'clock a.m
Receives: Drug: BIA 5-453

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax: Maximum observed plasma concentration (Plasma results on Day 1)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and H0.5 , 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 post-dose

  2. tmax: time to reach maximum plasma concentration (Plasma results on Day 1)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and H0.5 , 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 post-dose

  3. AUC0-t: Area under the plasma concentration-time curve from time zero to last measurable plasma concentration (Plasma results on Day 1)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and H0.5 , 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 post-dose

  4. AUC0-24: AUC from time zero to 24h-post dose (Plasma results on Day 1)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and H0.5 , 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 post-dose

  5. Cmax: Maximum observed plasma concentration (Plasma results on Day 10)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and H0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12,16, 24, 48 and 72 h post-dose

  6. tmax: time to reach maximum plasma concentration (Plasma results on Day 10)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and H0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12,16, 24, 48 and 72 h post-dose

  7. AUC0-t: Area under the plasma concentration-time curve from time zero to last measurable plasma concentration (Plasma results on Day 10)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and H0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12,16, 24, 48 and 72 h post-dose

  8. AUC0-24: AUC from time zero to 24h-post dose (Plasma results on Day 10)

    Plasma pharmacokinetic parameters (SD) following single and repeated doses of 50, 100, and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and H0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12,16, 24, 48 and 72 h post-dose

  9. C max : Maximum excretion rate (Urine results on Day 1)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and 0-4, 4-8, 8-12, 12-24 h post-dose

  10. tmax : Time of Maximum Excretion Rate (Urine results on Day 1)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and 0-4, 4-8, 8-12, 12-24 h post-dose

  11. AURC(0-tlast) : Area Under the Urine Excretion Curve from time zero to last time (Urine results on Day 1)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and 0-4, 4-8, 8-12, 12-24 h post-dose

  12. AmtCUM : Cumulative Amount of Drug excreted in urine (Urine results on Day 1)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D1 pre-dose, and 0-4, 4-8, 8-12, 12-24 h post-dose

  13. C max : Maximum excretion rate (Urine results on Day 10)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and 0-4, 4-8, 8-12, 12-24, 24-48, 48 72 h post-dose

  14. tmax : Time of Maximum Excretion Rate (Urine results on Day 10)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and 0-4, 4-8, 8-12, 12-24, 24-48, 48 72 h post-dose

  15. AURC(0-tlast) : Area Under the Urine Excretion Curve from time zero to last time (Urine results on Day 10)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and 0-4, 4-8, 8-12, 12-24, 24-48, 48 72 h post-dose

  16. AmtCUM : Cumulative Amount of Drug excreted in urine (Urine results on Day 10)

    Urine pharmacokinetic parameters (SD) following single and repeated doses of 100 and 200 mg of Etamicastat (BIA 5-453) in hypertensive subjects

    Measured: D10 pre-dose, and 0-4, 4-8, 8-12, 12-24, 24-48, 48 72 h post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Apr 2017
  2. Study start15 Jul 2008
  3. Primary completion3 Apr 2009
  4. Study completion3 Apr 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03099226
Sponsor's protocol ID
BIA-5453-201HT
Status last verified
Mar 2017
First submitted
28 Mar 2017
Last updated
4 Apr 2017
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIA 5-453 in people with Hypertension, run by Bial - Portela C S.A. at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cmax: Maximum observed plasma concentration (Plasma results on Day 1) (time frame: D1 pre-dose, and H0.5 , 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 post-dose). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2017.

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